BACKGROUND OF HEALTH FACILTY
(LA GENERAL HOSPITAL)La General Hospital was established in the year 1963 and accredited to a District Hospital status in the year 2004. It is the only government Health Institution overseeing the work of both Private and Quasi government Hospitals in the Sub-Metro. The La Sub-Metropolitan District is the politician name given to the following sub-metropolitan districts. (La, Teshie). A new municipality called Ledzokuku-Krowor was carved out of the Kpeshie sub metro in June 2008 to oversee the affairs of Teshie/Nungua area. It is a replica district hospital in a 3rd world country, a district hospital with a difference. (We do a bit of everything.) Community Psychiatry

Public Health
ENT & Diabetic Clinics
Support Services
Ultra-Sound
Pharmacy
X-Ray
Laboratory/Blood Bank
Other Services:
Mortuary
Ambulance
AIMS/VISION:
La General Hospital exists to be acknowledged as a friendly institution where quality of care is always assured in the La sub-metro. MISSION
To strive to achieve the ultimate in the provision of quality care in a dynamic and changing environment We accomplish this through:
* Supporting research and education
* Providing 24 hours curative and preventive services
* Listening to clients always
* Protecting clients confidentiality and privacy
OBJECTIVES:The objectives of the hospital for the period January – June 2009 have been in line with the five key objectives of the Health Sector reforms of the Ministry of Health. Subsequently, it is mindful of the 2008 Program of work which is structured around the following four thematic areas: 1. Health lifestyles and environment

2. Health, Reproduction and Nutrition services
3. General Health Systems Strengthening
4. Governance and Financing
Improve quality of Health Care
* Organize workshops to improve the skills of staff
* Providing good working environment between management and staff Increase Geographical & Financial Access
* Encouraging client for the National Health Insurance
* Increase outreach services
* Embarking exemption policy of the government.
Increase Access to Health Care
* Reaching the population through the 68 satellites, the Opec Clinic, and Teshie Community Clinic. Improve Financial Management:
* Better management of internally generated funds
Increase Inter-Sectorial collaboration
* Collaborating with NGO’s and other Stakeholders especially during NID’s and general cleaning of the hospital. However, the main objectives of the hospital are as follows; Specific Objectives 1. To provide comprehensive quality service at the La General Hospital 2. To strengthen and enhance management through briefing of Management at each SDHMT meeting to do effective, monitoring and supervision of all units. 3. To provide Health Care Services to the inhabitants of the difficult to reach areas in the Kpeshie Sub-Metro namely Agblezaa, Tse-Addo, Obediben, Okpoi Gonno and Marteyman. 4. RCH/FP Services

CHAPTER ONE
1. Patient`s particularsName: Mrs Mary Mohenu (M.M)Age: 82yearsSex: femaleNext of kin: Mrs. Edith Mohenu (sister)Marital status: Divorced Occupation: unemployed Date of birth: 30-08-1930Locality: Osu (Ako Adjei)Religion: Christianity (Methodist)Date of admission: 18-11-12Date of discharge: 26-11-12In patient number: 09/7364Ward: Emergency Room
2. Patient and fAMILY medical historyAccording to Mrs. M.M there are hereditary disease such as hypertension, diabetes mellitus and sickle cell disease in the family. There is no known chronic infectious disease such as leprosy, hepatitis or tuberculosis in the family. However, members of the family sometimes suffer from minor ailments such as malaria, diarrhoea, fever which are treated with herbal medications.

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